NPI | 1295025096 |
---|---|
Former Name | ROMONA DEVI KERSELLIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101263178) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: NY 274907) | |
Enumeration Date | 2011-04-13 |
Last Update Date | 2021-02-03 |